Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University School of Medicine

抄録

The use of frame retractors for excisional biopsies of the breast is straightforward and can be performed by a single surgeon without assistance. In addition, since a surgical field is established around the lesion, it is possible to obtain a visual field large enough to permit highly reliable excision of the lesion. We discuss our experience with frame retractors in such surgical procedures. In ten patients with breast lesions that could not be conclusively diagnosed by aspiration cytology and needle biopsy, frame retractors were used to perform surgical biopsies under local anesthesia. Blood loss, duration of surgery, analgesic usage, and complications were assessed. In all cases, the amount of blood loss was low ; the mean duration from the start of anesthesia to wound closure was 41 minutes. In summary, our results show that frame retractors are extremely useful for excisional biopsies of the breast.